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Related Experiment Video

Updated: Jul 7, 2026

Utilizing a 3D Printed Laparoscopic Nissen Fundoplication Model to Shorten a Resident's Learning Curve

Utilizing a 3D Printed Laparoscopic Nissen Fundoplication Model to Shorten a Resident's Learning Curve

Published on: August 15, 2025

Integrated flexible endoscopy training during surgical residency.

Mario P Morales¹, Gregory J Mancini, Brent W Miedema

¹Department of Surgery, Division of General Surgery, University of Missouri-School of Medicine, One Hospital Drive, Columbia, Missouri 65203, USA.

Surgical Endoscopy

|February 26, 2008

Summary

Dedicated endoscopy training at a VA hospital significantly boosted surgical resident case volume by 850%. Graduating residents averaged 161 procedures, ensuring proficiency for advanced endoscopic surgery.

Related Experiment Videos

Last Updated: Jul 7, 2026

Utilizing a 3D Printed Laparoscopic Nissen Fundoplication Model to Shorten a Resident's Learning Curve

Utilizing a 3D Printed Laparoscopic Nissen Fundoplication Model to Shorten a Resident's Learning Curve

Published on: August 15, 2025

Area of Science:

Gastrointestinal Endoscopy
Surgical Education
Medical Training

Background:

Advances in endoscopic surgery necessitate enhanced skills for future gastrointestinal surgeons.
Current general surgery residency programs may provide insufficient endoscopy case volume for advanced procedures.
An evaluation at the University of Missouri showed chief residents averaged only 43 cases, meeting but not exceeding requirements.

Purpose of the Study:

To assess if dedicating staff surgeon time to a gastrointestinal diagnostic center could improve resident endoscopy case volume.
To determine the impact of a structured training program on surgical resident endoscopy experience.

Main Methods:

A retrospective observational review of Accreditation Council for Graduate Medical Education (ACGME) surgery resident case logs from 2001-2005.
Two staff surgeons dedicated two days per week to an endoscopy center at a Veterans Administration (VA) Hospital.
Surgical residents participated in endoscopy training days during their VA surgical service rotations.

Main Results:

Resident endoscopy case volume increased by 850% between 2001 and 2005.
Graduating residents completed an average of 161 endoscopic procedures.
Endoscopic experience was distributed across all postgraduate years (PGY-1 to PGY-5).

Conclusions:

Dedicated endoscopy training days at a VA hospital under staff surgeon guidance effectively increase surgical resident case volume.
An integrated endoscopy curriculum promotes early skill acquisition and sustained proficiency throughout residency.
This structured approach facilitates resident integration into research, including natural orifice transluminal endoscopic surgery (NOTES).